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Utilization Review Case Manager Full Time at Loyola Medicine - ApplyBlast

Utilization Review Case Manager Full Time

Loyola Medicine

4 months ago

3.1 on Glassdoor

Fresno, California

Onsite

Full Time

Senior

0 applicants

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About this role

A Utilization Review Coordinator in Social Services coordinates care for patient populations across the acute care continuum. The role involves discharge planning, utilization management, and collaborating with interdisciplinary teams to optimize resource use. Candidates are expected to work closely with various stakeholders to improve patient care outcomes while adhering to facility protocols.

Responsibilities

Coordinate utilization review services for defined patient populations
Manage discharge planning and care coordination collaboration
Optimize facility resource utilization through team collaboration
Adhere to hospital protocols and clinical standards and outcomes
Analyze patient data to support resource utilization strategies

Skills

Qualifications

Registered Nurse (RN) LicensureBachelor of Science in Nursing (BSN)Certified Case Manager (CCM)AHA Healthcare Provider CPR

About Loyola Medicine

loyolamedicine.org

Headquarters

Maywood, Illinois, United States

Company Size

5001-10000 employees

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Loyola Medicine is a not-for-profit health system providing comprehensive medical care across its hospitals and outpatient facilities in Illinois, including Loyola University Medical Center, Gottlieb Memorial Hospital, and MacNeal Hospital. The organization offers urgent and specialty care, telehealth visits, online scheduling, patient portal access (MyChart), and streamlined access to medical records and billing.